Dental
NPI deactivated
Modern Dental Professionals Utah PC
Modern Dental Professionals Utah PC was paid $57K by Medicaid between Jan 2018 and Aug 2018, across 12 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 29% of everything it billed.
33Billing provider infoMODERN DENTAL PROFESSIONALS UTAH PC
SALT LAKE CITY, UT 84111
SALT LAKE CITY, UT 84111
33aNPI1912066424assigned 12/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$57K
24GClaims2,160
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#73 of 225
Median peer was paid$21K
This provider vs. median2.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,160 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 210 | 194 | $17K |
| D1351 | Sealant - per tooth | 12% | 482 | 58 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 202 | 192 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 10% | 111 | 53 | $6K |
| D0274 | Bitewings - four radiographic images | 9.8% | 208 | 199 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 145 | 141 | $5K |
| D1110 | Prophylaxis - adult | 7.8% | 99 | 96 | $4K |
| D1206 | Topical application of fluoride varnish | 3.8% | 262 | 248 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 214 | 197 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 51 | 47 | $861.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $454.88 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 164 | 156 | $122.62 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCAHOON, KEVIN (OWNER)